| NPI | 1366829699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK NURU1548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19572) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-01-18 |